Individual
TERESA WOHLLEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4121 SHELBYVILLE RD # 7, LOUISVILLE, KY 40207-3205
(502) 893-1380
Mailing address
8611 OAK VALLEY DR, CHARLESTOWN, IN 47111-0020
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
267577
KY
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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